Clin Exp Obstet Gyn
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Clin Exp Obstet Gyn · Jan 2011
Randomized Controlled Trial Comparative StudyExteriorized versus in-situ repair of the uterine incision at cesarean delivery: a randomized controlled trial.
To compare advantages and disadvantages of exteriorized and in situ repair techniques of uterine incision during cesarean section. ⋯ Exteriorized and in situ repair of uterine incisions have similar effects on blood loss, temperature patterns, postoperative analgesic dosage and the incidence of postoperative nausea and vomiting. Although both methods of uterine incision repair are valid options during surgery, cesarean sections took less time and length of hospital stay was shorter when uterine incision was repaired in situ.
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The aim of the study was to investigate if epidural analgesia may affect the operative vaginal birth rate. An observational study was carried out on 1,158 in low-risk patients who delivered vaginally; 46.9% of these patients underwent epidural analgesia using different doses and drugs. Overall, epidural analgesia enhanced the probability of vacuum delivery (OR 2.70 95% CI 1.88-3.89, p < 0.001). ⋯ Moreover, increasing the number of top-ups reduced the probability of vacuum delivery (OR 0.49 95% CI 0.27-0.93, p = 0.029) and the time of the second stage of labor. On the other hand, increasing time from the first dose of epidural to the last top-up increased the risk of operative vaginal delivery (OR 1.33 95% CI 1.03-1.72, p = 0.031) and the time of the second stage of labor. Epidural analgesia seems to favor spontaneous delivery when it is properly carried on.
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Clin Exp Obstet Gyn · Jan 2011
New results regarding trends in Iranian women's health and a comparison with WHO data.
Half of the world's population consists of women, who play important roles in cultural formation and education, maintain and promote households and their health, and consequently affect the community. In a general sense, women's health may be an important cornerstone for the formation of a healthy community. In developing countries, 67% of women work in the agriculture sector and produce 55% of the food products throughout the world. ⋯ The most important finding was that the maternal mortality rate decreased from 54 per 100,000 live births in 1991 to 37.4 per 100,000 live births in 1997. It decreased further to 24.7 per 100,000 live births in 2006. The Millennium Development Goal is 18-22 per 100,000 live births in 2015.
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Clin Exp Obstet Gyn · Jan 2011
Case ReportsSympathetic neural hyperalgesia edema syndrome, a frequent cause of pelvic pain in women, mistaken for Lyme disease with chronic fatigue.
To show that chronic fatigue syndrome can be mistakenly attributed to Lyme disease rather than considering sympathetic neural hyperalgesia edema syndrome. This common disorder of women, frequently, but not always causing pelvic pain, can present simply as chronic fatigue. ⋯ This very treatable disorder of the sympathetic nervous system should be considered in women with an unknown cause of chronic fatigue or if the symptoms persist despite treatment of another potential cause.